Differences in breast-feeding initiation and continuation by maternal diabetes status
Reena Oza-Frank1, Ilana Chertok2, Adam Bartley3
11Center for Perinatal Research,Research Institute at Nationwide Children's Hospital,Department of Pediatrics,The Ohio State University,700 Children's Drive,Research Building 3,Columbus,OH 43205,USA.
Public Health Nutrition
|May 10, 2014
Summary
Maternal diabetes, including gestational diabetes mellitus (GDM) and pregestational diabetes mellitus (PDM), is associated with lower breast-feeding continuation rates. Targeted prenatal education is crucial for improving breast-feeding outcomes in these populations.
Area of Science:
- Maternal Health
- Public Health
- Diabetes in Pregnancy
Background:
- Breast-feeding is crucial for infant health and development.
- Maternal diabetes, including gestational diabetes mellitus (GDM) and pregestational diabetes mellitus (PDM), affects a significant proportion of pregnancies.
- Understanding the impact of diabetes on breast-feeding practices is essential for targeted interventions.
Purpose of the Study:
- To determine the prevalence of and associations between breast-feeding initiation and continuation among mothers with and without diabetes.
- To identify reasons for not initiating or continuing breast-feeding based on maternal diabetes status.
Main Methods:
- Utilized secondary data from the US Pregnancy Risk Assessment Monitoring System (PRAMS), 2009-2011.
- Conducted population-based cross-sectional study analyses on 72,755 mothers.
- Employed multivariable logistic regression to analyze associations between breast-feeding and maternal diabetes status.
Main Results:
- Breast-feeding initiation was similar between women with GDM (80.8%) and no diabetes mellitus (NDM) (82.2%).
- Breast-feeding continuation was lower for GDM (65.7%) and PDM (60.4%) compared to NDM women (68.8%).
- PDM women showed significantly lower initiation (78.2%) and continuation (60.4%) compared to NDM.
Conclusions:
- Maternal diabetes status is linked to reduced breast-feeding continuation.
- Differences highlight potential gaps in prenatal education for women with diabetes, particularly PDM.
- Enhanced breast-feeding education is recommended for non-smoking women with GDM or PDM.
Keywords:
Pregnancy
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